Individual provider · NPI-1

Gabriela Cristina Mendoza, dental assistant lic

Dental Assistant · Lynwood, CA

NPI number1629314281
StatusActive
Last updated in NPPESDec 28, 2012

Details

NPI
1629314281
Entity type
Individual (NPI-1)
Name
Gabriela Cristina Mendoza
Credential
dental assistant lic
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2012
Last updated
Dec 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant–CAYes

Practice location

9910 Long Beach Blvd Ste A
Lynwood, CA 90262-1561

Phone 323-563-8900

Mailing address

4330 Lima St
Los Angeles, CA 90011-3821

Phone 323-423-6167

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